Healthcare Provider Details
I. General information
NPI: 1457516114
Provider Name (Legal Business Name): EAST FLORIDA HOSPITALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/22/2008
Last Update Date: 01/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2801 N STATE ROAD 7
MARGATE FL
33063-5727
US
IV. Provider business mailing address
2801 N STATE ROAD 7
MARGATE FL
33063-5727
US
V. Phone/Fax
- Phone: 954-974-0400
- Fax:
- Phone: 954-974-0400
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GARY
DUNCAN
Title or Position: VP
Credential:
Phone: 615-372-5135